How to improve access to health care for Roma living in social exclusion: a concept mapping study
Autor: | Lucia Bosakova, Daniela Bobakova, Ivana Svobodova, Zuzana Dankulincova Veselska |
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Rok vydání: | 2020 |
Předmět: |
Male
Roma Concept Formation Health Services Accessibility 0302 clinical medicine Health care Ethnicity 030212 general & internal medicine Sociology Cultural Competency Empowerment Policies Interventions media_common Social policy Czech Republic Aged 80 and over lcsh:Public aspects of medicine Health Policy Health services research Public relations Middle Aged Culturally Competent Care Social Isolation Female Concept mapping 0305 other medical science Adult medicine.medical_specialty China Adolescent media_common.quotation_subject Social Inclusion Vulnerable Populations 03 medical and health sciences Young Adult medicine Humans Healthcare Disparities Health policy Aged Spatial Analysis 030505 public health business.industry Public health Research Public Health Environmental and Occupational Health lcsh:RA1-1270 Health promotion Vulnerable population Health care access Social exclusion Health Facilities business Delivery of Health Care |
Zdroj: | International Journal for Equity in Health International Journal for Equity in Health, Vol 20, Iss 1, Pp 1-14 (2021) |
ISSN: | 1475-9276 |
Popis: | Background Half of the people living in social exclusion in the Czech Republic are of Roma origin. The worse health of Roma could be partly explained by numerous barriers to accessing health care. Therefore, our study aimed to explore the perceptions of various stakeholders and experts who may have an impact on the inclusion of Roma and/or their access to health care on how to improve health care access for Roma living in social exclusion in the Czech Republic. Methods We conducted a concept mapping study and obtained data from 32 participants from health and social services, policymakers and others who were involved in different study phases (brainstorming, sorting, rating, interpretation). Results Out of 64 proposed measures sorted into six distinct clusters, 20 were rated as the most urgent and the most feasible and should be implemented with a priority to improve access to health care for Roma living in social exclusion. The proposed measures covered various topics, such as education and awareness of the target group as well as education and supervision of helping professionals, strengthening capacities and streamlining the health care system, health promotion and associated services and increasing the local and financial accessibility of health care. Overall, measures concerning the education and supervision of helping professionals were rated as both the most urgent and the most feasible. Individual priority measures targeted, for example, the health needs assessment of Roma living in social exclusion to set up interventions or to include topics such as participation, empowerment, cultural competence and communication training in the curricula of health care and helping professionals in postgraduate and continuing studies. Conclusions Stakeholders proposed a set of relevant and acceptable measures that may help improve access to health care for Roma living in social exclusion. The way they rated the proposed measures reflects both the current unfavourable mainstream and public discourse concerning Roma living in social exclusion and the most acute policy issues identified by several European and national bodies. |
Databáze: | OpenAIRE |
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